
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Question
thumb_up100%
Betty Ruenzi is 63 years old. She is suffering from severe osteoporosis. Her mother suffered from severe osteoporosis at a young age. She is in pain at times and, at those times, has difficulty completing her activities of daily living. Her husband lives at home with her and assists her with her needs. She is not very active due to the pain in her back and legs. She has been advised by her physician to start a new diet.
1. What if…Why is it important for you to understand and apply biological, psychological, sociological, and nursing theories of aging when planning care for Betty Ruenzi?
2. What if…Betty Ruenzi is suffering from severe osteoporosis? What factors could cause this patient to be suffering from this painful disease, at such a young age?
3. What if…Betty does not like to be pushed to make drastic changes in her life? What changes need to occur to improve this patient’s quality of life?
4. What if…You are thinking about things to do to help this patient improve her quality of life? How could you improve the outlook for this patient? She views growing old as very negative and debilitating. What can you do to encourage this patient?
5. What if…Her husband enables her to not be active? He waits on her and gives her anything she needs and wants. What steps can her husband take to encourage her to be more independent?
6. What if…How can you help Betty Ruenzi meet the psychosocial challenges she is facing?
Expert Solution

This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 3 steps

Knowledge Booster
Similar questions
- Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. Edna’s test results showed that her T4 level was below normal. Why might her TSH level be elevated?arrow_forwardEugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. How would you apply the concept of oxygenation to Mr. Shaw, considering his health history?arrow_forwardJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim’s doctor would like him to try OTC medication before prescribing something stronger. Which of these medications would likely help Jim? (Select all that apply.) Antacids H-2 receptor blockers Proton pump inhibitors Antihistamines Diuretics Aspirinarrow_forward
- Teddy Roberts is 78 years old; he was brought to hospital by ambulance after a fall in his garden. He has a painful left wrist with obvious swelling, his x-ray shows a fractured radius and ulna. He has a history of rheumatoid arthritis of his hands and knees. He also has Glaucoma, wears a hearing aid and uses a 4-prong walking stick for assistance with mobilisation. He currently lives at home with his cat George. When considering discharge planning for this gentleman, identify four (4) support services that may be utilised for this client on discharge and the service they providearrow_forwardMr Ojomu is a 42 year male of African origin. He has a demanding desk-based job and frequently has to work long hours. He rarely eats regular meals and so has developed a habit of snacking on foods with high salt, fat and sugar contents. He routinely drinks at least 4 cups of coffee a day and at least one bottle of coca-cola. Recently he has noticed that he has put on weight and easily gets out of breath when walking, he feels tired on waking, often suffers muscular aches and pains and experiences bouts of anxiety over his workload. a) Using The nervous system explain what steps Mr Ojomu should take to improve his overall physical and mental health. Include in your answer how the body systems you have selected work together to normalise body functions.arrow_forwardDaniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. List and briefly describe 3 steps Daniel can take to prevent future renal lithiasis.arrow_forward
- Characteristic Rheumatoid Arthritis Osteoarthritis Systemic manifestations Inflammatory disease Symmetric presentation Pain at rest Laboratory abnormalityarrow_forwardMr Jankovic a 78 years old male, is admitted for a left total hip replacement. He underwent surgery and is now three days post-operative, in the orthopaedic ward. He has gained a lot of weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatomegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using a Continuous Positive Airway Pressure (CPAP) machine infrequently as it dries his mouth and nose and the noise annoys his wife. Past medical history: — Osteoarthritis (diagnosed 10 years ago) — Mild left cardiac failure and occasional angina (diagnosed 2 years ago) — Hypertension (diagnosed 5 years ago) — Frequent gout Surgical history: — Internal fixation left tibia and fibula following motorcycle accident at age 21years — Appendectomy at age 23 years — Resection prostatic carcinoma (7 years ago) Q1. Q2. Explain the difference between…arrow_forwardJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. After two weeks, the OTC medication Jim tried isn’t helping, so his doctor wants to perform a diagnostic imaging procedure that uses a light and camera to look for inflammation inside the esophagus and test for Barrett’s esophagus. What is this procedure called? Ambulatory acid probe test Esophageal manometry Upper endoscopy Colonoscopyarrow_forward
- Mrs. Kirby, 58, is a moderately active woman. She works in the garden almost daily, occasionally walks with her friends, and babysits her three very active young grandchildren every weekend. She eats a fairly standard diet every day: she has cereal with milk and coffee for breakfast, some kind of salad for lunch, and a piece of meat or fish with a healthy helping of veggies for dinner. She usually skips desserts or has just a couple of strawberries. When asked to look at the food labels and calculate her intake of carbohydrates, fats, and proteins in grams over the entire day, on an average day, she came up with the following numbers: Carbohydrates: 243 gFats: 41 gProteins: 63 g Calculate what percentage of Mrs. Kirby’s total energy intake came from carbohydrates. Round the percentage to the nearest whole number.arrow_forwardJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Which of the following anatomical structures is weakened, causing Jim’s heartburn? Pyloric sphincter Lower esophageal sphincter Fundus of the stomach Muscularis layer of the stomacharrow_forwardDaniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care.List and briefly describe 2 possible complications.arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning

Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders

Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,

Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science

Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders

Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning